| Mga Behavior Therapy Llc | |
|
3400 Walsh Pkwy Ste 248 Fayetteville NC 28311-1642 | |
| (910) 839-0239 | |
| Not Available |
| Full Name | Mga Behavior Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3400 Walsh Pkwy Ste 248, Fayetteville, North Carolina |
| Authorized Official Name and Position | Alexandra Koloskus (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7202767706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mga Behavior Therapy Llc 1355 Garden Of The Gods Rd Ste 130 Colorado Springs CO 80907-3595 Ph: (719) 212-6535 | Mga Behavior Therapy Llc 3400 Walsh Pkwy Ste 248 Fayetteville NC 28311-1642 Ph: (910) 839-0239 |
| NPI Number | 1033997465 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033997465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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